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We anticipate that the patient selection process outlined in the present review will continue to shift toward less advanced cases of heart failure.
The quality of included studies is assessed with the Quality Assessment of Diagnostic Accuracy Studies-2 checklist, containing items such as a consecutive and all-inclusive patient selection process, blinding of index test and reference standard assessment, a valid reference standard, and complete verification of all included participants.
Fig. 1 Flow chart of the patient selection process.
As most evaluations (10) were RCTs, their meticulous patient selection process will question the wider generalisability of their findings.
When a more critical patient selection process was instituted, a smaller percentage remained symptomatic (9% vs 19%) and three-year survival rate was improved (86% vs 57%).
On the other hand this means that taking such factors into account in the patient selection process, or making adjustments to our telemedical equipment and techniques to improve accessibility for any patients currently struggling to make best use of the equipment, might further improve the already significant impact of telemedical support on patient outcomes and costs we measured.
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Fig. 1 The profile of study design and patient selection processes.
Indeed the STCS follows by law all transplanted patients at the Swiss national level, therefore preventing patient selection processes and potential selection bias.
Where resources and accountability are limited, transparent and fair patient selection processes are crucial to address equity aspects of patient care.
If the money follows the patients, this selection process will encourage providers to compete for patients by improving their quality and decreasing their costs [ 9- 12], which eventually helps ensure the quality, efficiency and equity of healthcare [ 11, 13, 14].
In the present study, we have paid special attention to patient selection and the process of tissue sampling.
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